Individual
KIMBERLY L ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
680 W SAM HOUSTON PKWY S APT 2414, HOUSTON, TX 77042-1570
(601) 730-4209
Mailing address
680 W SAM HOUSTON PKWY S APT 2414, HOUSTON, TX 77042-1570
(601) 730-4209
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
328204
MS
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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